Posts Tagged ‘Endometriosis’
Endometriosis affects millions of women throughout the world. It happens when the tissue that lines the uterus grows outside of it. It may be associated with both pelvic pain and infertility. It, therefore, has the potential to disrupt the quality of life and cause significant emotional distress. A woman’s age, duration of infertility, pelvic pain, and stage of endometriosis are taken into account when formulating an infertility treatment plan. IVF is an option for women and families affected by infertility related to endometriosis.
Endometriosis, fertility & pregnancy – What is Endometriosis? – The Effect of Endometriosis on Fertility and Infertility – Endometriosis – Causes, Symptoms, Test and Treatment – Diagnosis and Treatment of Endometriosis -Endometriosis Infertility Treatment at Blossom Fertility and IVF Centre – Endometriosis and Infertility – An Overview of Endometriosis with Dr. Rupal Shah – Symptoms of Endometriosis – Severe Endometriosis and IVF – Reproductive Specialist – Dr Rupal Shah – Frequently Asked Questions on Endometriosis – Get pregnant with Endometriosis – Endometriosis, Fertility and Infertility – Does Endometriosis affect Fertility? – Is Endometriosis Curable? – Diagnosing Endometriosis with Blossom Fertility and IVF Centre – Learn what Endometriosis is with experts at Surat, Gujarat – Causes, Symptoms and Treatment for Endometriosis – Endometriosis and its effect on Fertility – IVF, ICSI, and Endometriosis
The Effect of Endometriosis on Fertility and Infertility
Endometriosis is a disease that affects women of reproductive age and that may be associated with both pelvic pain and infertility. Endometriosis is a condition that affects a woman’s reproductive organs. It happens when the tissue that lines the uterus grows outside of it. It may be associated with both pelvic pain and infertility. In a simple language, endometriosis happens when the tissue that lines the uterus grows outside of it. Scientific advances have improved the understanding of this benign (non-cancerous) but sometimes debilitating condition. Modern medicine now offers women with endometriosis many treatment options for relief of both pain and infertility.
Causes, symptoms, diagnosis and the options to manage and treat endometriosis including lifestyle, pain relief medications, hormone therapy and different types of surgery are all discussed here below.
What is endometriosis?
Endometriosis is a chronic condition that affects a woman’s reproductive organs. It happens when the lining cells (called the endometrium) of the uterus grow outside of it. Endometriosis most commonly involves ovaries, bowel or the tissue lining the pelvis. Rarely, endometrial tissues may spread beyond the pelvic region and is found in other parts of the body. About 10% of women between the ages of 15-49 are affected by it and around 176 million women worldwide. This tissue can irritate structures that it touches, causing pain and adhesions (scar tissue) on these organs.
Symptoms of Endometriosis
Symptoms of Endometriosis
The primary symptom of endometriosis is pelvic pain, often associated with the menstrual period. Though many woman experience cramping during their menstrual period, women with endometriosis typically describe their menstrual pain that’s far worse than the usual. They also tend to report that the pain has increased over time. Common signs and symptoms of endometriosis may include:
- Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before and extend several days into your period and may include lower back and abdominal pain.
- Pain with intercourse. Pain during sex or after sex is common in endometriosis.
- Pain with bowel movements or urination. You’re most likely to experience these symptoms during your period.
- Excessive bleeding. You may experience occasional heavy periods (menorrhagia) or bleed between periods (menometrorrhagia).
- Infertility. Endometriosis is first diagnosed in some women who are seeking treatment for infertility.
- Other symptoms. You may also experience fatigue, diarrhoea, constipation, bloat or nausea, especially during menstrual periods.
The cause of endometriosis is not known, although it often runs in families. Numerous biochemical and immunological changes have been identified in association with endometriosis, but it is unclear which may contribute to endometriosis and which simply result from it.
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Endometriosis – Causes, Symptoms, Test and Treatment
Endometriosis and Infertility
If you have endometriosis, it may be more difficult for you to become pregnant. The main complication of endometriosis is impaired fertility. Approximately one-third to one-half of women with endometriosis has difficulty getting pregnant. For pregnancy to occur, an egg must be released from an ovary, travel through the neighbouring fallopian tube, become fertilized by a sperm cell and attach itself to the uterine wall to begin development. Endometriosis may obstruct the tube and keep the egg and sperm from uniting. But the condition also seems to affect fertility in less-direct ways, such as damage to the sperm or egg. Even so, many women with mild to moderate endometriosis can still conceive and carry a pregnancy to term. Doctors sometimes advise women with endometriosis not to delay having children because the condition may worsen with time.
Endometriosis can influence fertility in several ways: distorted anatomy of the pelvis, adhesions, scarred fallopian tubes, inflammation of the pelvic structures, altered immune system functioning, changes in the hormonal environment of the eggs, impaired implantation of a pregnancy and altered egg quality. At the time of surgery, your doctor may evaluate the amount, location, and depth of endometriosis and tell you whether it is minimal, mild, moderate or severe. Different stages relate to pregnancy success. A woman with severe endometriosis which causes considerable scarring, blocked fallopian tubes, and damaged ovaries, experience the most difficulty in becoming pregnant and often require advanced fertility treatment.
Endometriosis Test and Diagnosis
To diagnose endometriosis and other conditions that can cause pelvic pain, the doctor will ask to describe the symptoms, including the location of pain and when it occurs. Tests to check for physical clues of endometriosis include Pelvic exam, Ultrasound, and Laparoscopy. Laparoscopy can provide information about the location, extent and size of the endometrial implants to help determine the best treatment options.
Frequently Asked Questions on Endometriosis
Treatment options when diagnosed with Endometriosis
There is no ‘best treatment’ since treatments will work differently for individual women with endometriosis. One should be aware of the different kinds of treatments, and their possible effects and side effects or complications. A combination of treatments can be used to relieve the symptoms associated with endometriosis. There are many options to manage and treat endometriosis including a healthy lifestyle, pain relief medications, hormone therapy such as the oral contraceptive pill and progestin. Different types of surgery including laparoscopy, laparotomy and hysterectomy are also possible.
In most cases, infertility specialists will recommend the laparoscopy to remove or vaporize the growths as a way to also improve fertility in women who have mild or minimal endometriosis. Although studies show improved pregnancy rates following this type of surgery, the success rate is not clear. If pregnancy does not occur after laparoscopic treatment, in vitro fertilization (IVF) may be the best option to improve fertility.
IVF makes it possible to combine sperm and eggs in a laboratory to make an embryo. Then the resulting embryos are placed into the woman’s uterus. IVF is one type of assisted reproductive technology that may be an option for women and families affected by infertility related to endometriosis. It is possible that all women with endometriosis are not able to become pregnant with IVF.
What can be done to maximise future fertility when diagnosed with Endometriosis?
The birth control pill is commonly prescribed to reduce menstrual cramping and help prevent endometriosis recurrence. Preventing endometriosis can help preserve fertility, so the pill is an excellent treatment option following endometriosis surgery if you are not yet ready to become pregnant. Women with endometriosis should consider consulting with a fertility specialist, (a specialist in Reproductive Endocrinology/Infertility), even if she is not yet ready to try to conceive or become a parent. Consulting fertility expert is extremely important if the age of the women is over 30 and is diagnosed decreased ovarian reserve. Fertility in women decreases with age. In addition to age, “ovarian reserve” also helps predict your ability to conceive. Surgery to remove or destroy endometriosis involving the ovaries may also reduce ovarian reserve and thus lower a woman’s chances of pregnancy even with fertility treatment such as IVF. Women with moderate to severe endometriosis may have scarring that can prevent the egg from entering the fallopian tube. Mild and minimal endometriosis are also associated with infertility, so all women with endometriosis need to consider the impact endometriosis may have on their fertility. A newer option for women is to freeze her eggs for possible future use in the event they experience infertility. Though egg freezing is costly, it is always a better option.
Endometriosis Infertility Treatment at Blossom Fertility Surat
Many women believe endometriosis will prevent them from having children. This is a myth. Although some do experience infertility, about 70 percent of women with endometriosis do not. There are no preventive measures to avoid the condition. A woman can manage the symptoms only if she is diagnosed.
Choosing a qualified specialist, the one who is familiar with the latest developments in the management of endometriosis is the best strategy. Finding a doctor with whom you feel comfortable is crucial in managing and treating endometriosis. You may also want to get a second opinion before starting any treatment to be sure you know all of your options and the possible outcomes. The Blossom Fertility and IVF Centre aims to reduce the stress and hassle associated with infertility investigations and treatment, by offering a one-stop diagnostic and treatment service for infertile couples. The specialists team at Blossom have years of experience in providing the comprehensive services in the entire gamut of gynaecological and infertility treatment. We have handled a large number of cases related to IVF, ICSI, Blastocyst Transfer, Donor Eggs, Male infertility, Female infertility and various other complex processes and have achieved remarkable successes in them. Fertility experts here pay individual attention to the patients need and analyse the course of treatment and Reproductive endocrinologists, embryologists, anthologists, and infertility specialists have helped hundreds of couples have babies through Assisted Reproduction.
Contact Blossom Fertility and IVF Centre for any infertility related queries at http://www.blossomivfindia.com/archives/1107 Or http://www.blossombestivfindia.com call them on 91 261 2470444 to talk with the team of Infertility experts and IVF Specialist.
Polycystic ovary syndrome is a common hormonal disorder among women of reproductive age. Infrequent or prolonged menstrual periods, excess hair growth, acne and obesity can all occur in women with polycystic ovary syndrome. The exact cause of polycystic ovary syndrome is unknown. Early diagnosis and treatment may reduce the risk of long-term complications, such as type 2 diabetes and heart disease.
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Polycystic ovary syndrome is a problem in which a woman’s hormones are out of balance. It can cause problems with your periods and make it difficult to get pregnant. PCOS also may cause unwanted changes in the way you look. If it isn’t treated, over time it can lead to serious health problems, such as diabetes and heart disease. It can cause problems with your periods and make it difficult to get pregnant.
Polycystic Ovarian Syndrome (PCOS) is a disorder caused due to the imbalance of hormones in the body. It is characterized by abnormal amounts of the male hormone androgen which results in irregular periods and cysts in the ovaries. Cysts are small sacs filled with fluid. Polycystic ovary syndrome (PCOS) is one of the most common female endocrine disorders affecting approximately 5%-10% of women of reproductive age (12-45 years old). It is thought to be one of the leading causes of female sub fertility and the most frequent endocrine problem in women of reproductive age.
It can cause problems with your periods and make it difficult to get pregnant. PCOS may also cause unwanted changes in the way you look. If it is not treated, over time it can lead to serious health problems, such as diabetes and heart disease. Polycystic ovary syndrome (or PCOS) is common, affecting as many as 1 out of 15 women. Often the symptoms begin in the teen years. Treatment can help control the symptoms and prevent long-term problems. PCOS may also cause unwanted changes in the way you look. You can have polycystic ovaries without having PCOS. However, nearly all women with PCOS will have polycystic ovaries. The symptoms and severity of the syndrome vary greatly among women. To increase fecundity the treatment possibilities are mostly focused on regulation of the menstrual cycle.
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Early diagnosis and treatment can help control the symptoms and prevent long-term problems. Basic Symptoms of PCOS include:
- Irregular or absent periods
- Acne or pimples, oily skin, dandruff
- Thinning of the scalp hair
- Excess hair on the face and parts of the body where men usually have hair
- Infertility or difficulty in conceiving
- Weight Problems or obesity that is mainly around the midriff of the body
- Pigmentation, especially on the neck and underarms
- Polycystic ovaries (seen on ultrasound) multiple, small cysts in the ovaries.
- Elevated insulin levels and insulin resistance
- Elevated blood pressure and high cholesterol levels
Any or many of the above symptoms and signs may be absent in PCOS, with the exception of irregular or no menstrual periods. All women with PCOS will have irregular or no menstrual periods. Women who have PCOS do not regularly ovulate; that is, they do not release an egg every month. This is why they do not have regular periods and typically have difficulty conceiving.
Causes of PCOS
As per the Doctors there are no set causes of polycystic ovary syndrome, but the factors like excess insulin or insulin resistance, Low-grade inflammation, heredity and Abnormal fetal development leads to PCOS. Researchers continue to investigate to what extent these factors might contribute to PCOS.
Getting pregnant with PCOS
Getting pregnant is really exciting, but PCOS can create the need for you to take extra steps to assure you have a safe and joyful delivery. Women with PCOS (Polycystic Ovarian Syndrome) who become pregnant may experience more health problems than the general population, like blood sugar levels which can lead to diabetes, pregnancy-induced high blood pressure, miscarriage, premature delivery, pre-eclampsia (high blood pressure, protein traces in the urine) and Macrosomia (a newborn with an excessive birth weight).
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PCOS and infertility in women
Polycystic Ovary Syndrome (PCOS) has been found to be the leading cause of female infertility in women who are under 35 years of age. However, more and more women are getting help with fertility treatments. Studies have revealed that PCOS and infertility conditions are co-existent. It has also been found that many of the symptoms and side-effects of PCOS make it extremely difficult to conceive and in some cases almost impossible. Millions of women are seeking help from infertility doctors and are availing treatments to get pregnant. The good news is that at every stage of those suffering from PCOS, there is treatments for PCOS which will help you conceive by increasing your fertility levels.
It is important to see a fertility doctor who understands PCOS properly. If the treatments for PCOS fail, then opting for IVF or in-vitro fertilisation may only be the option. However, you need to remember that each case is unique and the conditions may differ from one case to another. So seek the opinion of a good doctor before jumping to any kind of conclusion.
Patients with PCOS may also suffer from the symptom of miscarriage. The miscarriage rate appears to be higher for women with polycystic ovarian syndrome (PCOS). Some studies suggest that the rate could be 45% or more. Obesity or persistent weight gain is a common feature of polycystic ovarian syndrome. Many women find it almost impossible to lose weight, even when on a strict diet. Obesity makes insulin resistance worse. Weight loss can reduce both insulin and androgen levels, and may restore ovulation. Consider a low-carbohydrate diet if you have PCOS and choose complex carbohydrates, which are high in fibre. The more fibre in a food, the more slowly it’s digested and the more slowly your blood sugar levels rise. Exercise helps lower blood sugar levels. If you have PCOS, increasing your daily activity and participating in a regular exercise program may treat or even prevent insulin resistance and help you keep your weight under control.
Treatment of PCOS
Polycystic ovary syndrome treatment generally focuses on management of your individual main concerns, such as infertility, hirsutism, acne or obesity. The main focus in the treatment is given to regulating menstrual cycle, helping in ovulation, reducing growth of excessive hair on the body, reducing the weight and controlling insulin level. Laparoscopic ovarian drilling is also an option for some women with PCOS.
If you think you have PCOS, please DO NOT IGNORE YOUR SYMPTOMS. There is an urgent need to look beyond these minor complaints, and realize the intensity of health problems which may come your way. Contact your Gynecologist at the earliest and take the help of infertility expert at once. For further information on any question relating to polycystic ovary syndrome hirsutism, polycystic ovary syndrome infertility, metformin polycystic ovary syndrome, getting pregnant polycystic ovary syndrome, PCOS, IVF treatment, infertility issues, test tube baby clinic, surrogacy treatment, infertility specialist you may contact Blossom Fertility and IVF Centre. The young, enthusiastic and energetic consultant of Blossom IVF Centre is highly competent in dealing all types of menstrual, ovulation problems and is ready with solution to help couples attain parenthood.
For optimal prevention of PCOS and treatment strategies, and Comprehensive Affordable world class IVF services Contact us today at http://www.blossomivfindia.com/ or call us on 91 261 2470444 where all appointments are scheduled according to your convenience.
Infertility – Symptoms, Diagnosis, Treatment of Infertility -Possibilities for the Cause of Infertility – Causes of Infertility
Infertility means not being able to get pregnant after one year of trying. Or, six months, if a woman is 35 or older. Women who can get pregnant but are unable to stay pregnant may also be infertile. For some couples, infertility problems can be present from birth (congenital) or something can go wrong along the way that results in infertility. The reason of infertility can be because of either partner. About one-third of infertility cases are caused by women’s problems and one third of fertility problems are due to the man. The other cases are caused by a mixture of male and female problems or by unknown problems.
If a couple decides to go for consultation of medical experts then first thing is to fix up an appointment with infertility specialist. Many infertility problems can be pinpointed by the infertility specialist and the vast majority cases can be treated.
Many cases of apparent infertility are treatable. Infertility may have a single cause in one of the partners, or it could be the result of a combination of factors. The following article outlines the most common causes attributed to the term infertility.
1: Womb and fallopian tubes
The fallopian tubes are the tubes along which an egg travels from the ovary to the womb. The egg is fertilised as it travels down the fallopian tubes. When it reaches the womb, it is implanted into the womb’s lining where it continues to grow. If the womb or the fallopian tubes are damaged, or stop working, it may be difficult to conceive naturally. This can occur following a number of factors which include pelvic inflammatory disease, sexually transmitted diseases such as chlamydia, and previous sterilisation surgery. In rare cases, women may be born with tubal abnormalities, usually associated with uterus irregularities.
Tubal disease affects approximately 25% of infertile couples and varies widely, ranging from mild adhesions to complete tubal blockage. Treatment for tubal disease is most commonly surgery and, owing to the advances in microsurgery and lasers, success rates are as high as 30% overall, with certain procedures having success rates up to 65%.
2: Polycystic Ovarian Syndrome (PCOS)
Polycystic ovary syndrome (PCOS) is a common hormonal disorder among women of reproductive age. The name of the condition comes from the appearance of the ovaries in most, but not all, women with the disorder — enlarged and containing numerous small cysts located along the outer edge of each ovary (polycystic appearance). Polycystic ovary syndrome is a problem in which a woman’s hormones are out of balance. It can cause problems with your periods and make it difficult to get pregnant. PCOS may also cause unwanted changes in the way you look. If it is not treated, over time it can lead to serious health problems, such as diabetes and heart disease. Polycystic ovary syndrome (or PCOS) is common, affecting as many as 1 out of 15 women. Often the symptoms begin in the teen years. Treatment can help control the symptoms and prevent long-term problems.
The exact cause of polycystic ovary syndrome is unknown. Early diagnosis and treatment may reduce the risk of long-term complications, such as type 2 diabetes and heart disease. Symptoms related to elevated androgen levels include acne, excess hair growth on the body (hirsutism), and male-pattern hair loss. Other signs and symptoms of PCOS include obesity and weight gain, elevated insulin levels and insulin resistance, oily skin, dandruff, infertility, skin discolorations, high cholesterol levels, elevated blood pressure, and multiple, small cysts in the ovaries. Any of the above symptoms and signs may be absent in PCOS, with the exception of irregular or no menstrual periods. All women with PCOS will have irregular or no menstrual periods. Women who have PCOS do not regularly ovulate; that is, they do not release an egg every month. This is why they do not have regular periods and typically have difficulty conceiving.
What is Infertility treatment: In vitro fertilization (IVF)
3: Varicocele Repair for Infertility
Varicoceles are enlarged varicose veins that occur in the scrotum. They are fairly common, affecting 15% of men overall and 40% of men with known infertility. Varicoceles occur most often in the left testicle. Varicocele repair is performed to improve male fertility. It can usually be done surgically on an outpatient basis using local or general anesthetic. A small incision is made in the abdomen close to where the testicles originally descended through the abdominal wall. The veins that produce the varicocele are identified and cut to eliminate blood flow to the varicocele. Alternatively, a nonsurgical procedure called percutaneous embolization can be done to repair a varicocele. A small catheter is inserted through a large vein in the groin or neck and advanced to the varicocele, which is then blocked off by a balloon, coil, or medicine.
4: Abnormal Sperm Count, Shape, Motility
More than 90% of male infertility cases are due to low sperm counts, poor sperm quality, or both. In 30 – 40% of cases of sperm abnormalities, the cause is unknown. It may be the end result of one or more factors that include chronic illness, malnutrition, genetic defects, structural abnormalities and environmental factors. Partial obstruction anywhere in the long passages through which sperm pass can reduce sperm counts. In one study, obstruction was believed to be a contributing factor in over 60% of low sperm count cases.
Sperm size and shape is referred to as sperm morphology, and it’s one of three factors analyzed in a semen analysis. The other two are sperm motility, or movement, and sperm count. Sperm have to be willing to get a move on. That last distance to the egg can only be crossed with some serious sperms. More than 40 % of a man’s sperm have to be active swimmers for a good chance at fertility.
5: Endometriosis
Approximately 10% of infertile couples are affected by endometriosis. In fact, 30-40% of patients with endometriosis are infertile. This is two to three times the rate of infertility in the general population. For women with endometriosis, the monthly fecundity (chance of getting pregnant) diminishes by 12 to 36%. Endometriosis is the abnormal growth of cells (endometrial cells) similar to those that form the inside or lining the tissue of the uterus, but in a location outside of the uterus. Growth occurs not only in the uterus but also elsewhere in the abdomen, such as in the fallopian tubes, ovaries and the pelvic peritoneum. A positive diagnosis can only be made by diagnostic laparoscopy, a test that allows the physician to view the uterus, fallopian tubes, and pelvic cavity directly. The symptoms often associated with endometriosis include heavy, painful and long menstrual periods, urinary urgency, rectal bleeding and premenstrual spotting. Sometimes, however, there are no symptoms at all, owing to the fact that there is no correlation between the extent of the disease and the severity of the symptoms. The long term cumulative pregnancy rates are normal in patients with minimal endometriosis and normal anatomy. Current studies demonstrate that pregnancy rates are not improved by treating minimal endometriosis.
Apart from these infertility causes there are many factors that contribute to the infertility. These includes unexplained infertility, increased age in men and women, lifestyle habits like alcohol, smoking, caffeine, overweight or underweight, sexually transmitted diseases, occupational or environmental factors and stress.
If you are experiencing infertility problems either due to PCOS, endometriosis, varicocele, abnormal sperm count, shape or motility, blocked fallopian tubes or increasing age or secondary infertility, it is extremely important for you to take a call and visit your infertility expert at the earliest.
Contact today Blossom Fertility and IVF Centre, for consultation with our highly-skilled fertility specialist to couples interested in learning more about their options for having a baby using assisted reproductive technology. Please call on +91 261 2470333 to schedule a appointment or simply email us at info@blossomivfindia.com
